CLINICAL SCENARIO STEM (1)

A 17 year old boy has been involved in a low speed MVA, he has been BIBA to your resus bay. He is in a collar and sand bags currently. His primary survey is unremarkable, but the junior registrar has not yet assessed or cleared the C-Spine as doesn’t feel confident to do so.

 

INSTRUCTIONS TO CANDIDATE

• Assess through focussed history and examination, whether you can clear the C-Spine of this patient. You can assume that there are no other injuries. You must teach your registrar the principles of C-Spine Clearance as you make your assessment. Explain to the patient and the registrar what the plan is based on your clinical assessment.
• YOU DO NOT NEED TO DO A LOG ROLL – THIS HAS ALREADY BEEN COMPLETED AND WAS NORMAL
• You can assume that any examination already completed and fed back to you by the registrar is accurate, and that he is competent.